Wherever You Go, There You Are
By David Givot
Like it or not, the individuals rolling past in an ambulance, squad, chase car, fire engine, or truck are role models for the impressionable citizens who gaze in awe as you pass. You know it is true, because you feel their eyes on you as you whiz by...and you get a tingle of pride (or something) every time.
Whatever the reason, more is expected of EMS providers and when things go sideways, the consequences tend to be greater. For EMS providers, one unfortunate decision can forever alter a future, end a career, and diminish to nothing the value of a life's work.
I have found that, in general, most providers recognize what is at stake on the job and most function within the boundaries. That is, on the job. Nevertheless, my practice continues to prosper on the indiscretions of providers who make those bad choices when they are off duty and away from work.
For most of society, simply being arrested for things like petty theft, public drunkenness, assault, battery, urinating in public, possession of marijuana, even DUI has little, if any, impact on the long term. Most never report it to their employer or tell anyone outside their own social circle. The incident is dealt with quietly in the background of life and, in many instances, never materializes into something life-altering.
EMS providers, on the other hand, have much more to consider. Even an arrest can be the end of you. Employers have rigid reporting standards, which can create the proverbial catch-22. Failure to report is terminable; reporting leads to suspension, internal investigation into your external life, and possibly termination — either way, you lose. Then, licensing and certifying agencies have character guidelines and, in many instances, receive notification of the arrest automatically from the arresting agency.
In California, for instance, the EMS Authority can, depending on the charge, suspend your Paramedic license immediately followed by a potentially lengthy state investigation to determine whether your license should be revoked outright. Of course, the state will inform your employer of the temporary license suspension and Pandora's box is open. Oh, and don't forget the Motor Vehicle Department. That otherwise easily resolved first DUI has devastating consequences for your commercial driver's license, the one that allows you to operate the emergency vehicle...which you have to report to your employer and possibly to the licensing agency. And you have not even had a single court appearance yet, much less been convicted.
The long and short of it all is that your life as an EMS provider goes on even when the uniform comes off. The standards that make you special in the eyes of a grateful community are those that can and will strip you of everything for violating their trust.